PsychRounds: The Psychiatry Podcast Extrapyramidal Symptoms (EPS)
Dec 11, 2024
Dive into the intriguing world of extrapyramidal symptoms tied to antipsychotic medications. Discover the complexities of acute dystonia and its effective treatment strategies. Unravel the neurological mechanics behind symptoms like akathisia and tardive dyskinesia, and explore promising new treatment options. Understand the critical balance of cholinergic and dopaminergic systems, emphasizing the necessity for early recognition and cautious long-term management of these conditions.
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Importance of EPS
- Extrapyramidal symptoms (EPS) are a high-yield topic for board exams and crucial for patient care.
- Early recognition and treatment of EPS improve direct outcomes and medication adherence.
Extrapyramidal System Overview
- The extrapyramidal system controls involuntary motor functions like posture and inhibits involuntary movements.
- It's distinct from the pyramidal system, which manages conscious muscle control.
EPS Overview and Risk Factors
- EPS are involuntary movement disorders caused by dopamine-blocking agents, often seen with antipsychotics.
- Risk factors include high-potency D2 blockade, being antipsychotic-naive, elderly, or having an intellectual disability.